Healthcare Provider Details

I. General information

NPI: 1629086368
Provider Name (Legal Business Name): DOROTHY JEANNE BOBBE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/04/2006
Last Update Date: 10/04/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

189 HOSPITAL DR
SPRUCE PINE NC
28777-3035
US

IV. Provider business mailing address

PO BOX 602373
CHARLOTTE NC
28260-2373
US

V. Phone/Fax

Practice location:
  • Phone: 828-766-3555
  • Fax:
Mailing address:
  • Phone: 828-213-1500
  • Fax: 828-651-6576

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number35842
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: